In partnership with patients and their family members, complete an advance care plan that conveys the patient’s goals, values and preferences for their care should they become acutely ill.
Assist the patient in completing all necessary paperwork to carry out the patient’s stated preferences.
Rationale
Advance care planning benefits patients, their families and the care team. Patients receive care aligned with their values, families face less decisional burden, and the care team faces less moral distress if they know the patient’s care goals in advance.
